Minnesota Health Care Programs List of Covered Drugs (Formulary)
Download the complete Formulary or search the list of covered drugs below.
Minnesota Health Care Programs List of Covered Drugs (Formulary) (PDF) Updated 6/1/2023
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Arabic (PDF) Updated 6/1/2023
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Hmong (PDF) Updated 6/1/2023
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Russian (PDF) Updated 6/1/2023
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Somali (PDF) Updated 6/1/2023
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Spanish (PDF) Updated 6/1/2023
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Vietnamese (PDF) Updated 6/1/2023
Prior Authorization Criteria (PDF) Updated 6/1/2023
Diabetes Supply List (PDF) Updated 5/1/2023
Medical Injectable Authorization List (PDF) Updated 5/1/2023
Continuation of Therapy Prior Authorization Criteria (PDF)
Non-Preferred Drug Prior Authorization Criteria (PDF)
Medication Therapy Management (MTM) - available at no additional cost to members with chronic health conditions who take multiple medicines.